NPI: 1700080769 · CORTEZ, CO 81321 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,035 | $57K |
| 2019 | 1,708 | $88K |
| 2020 | 1,171 | $60K |
| 2021 | 2,196 | $106K |
| 2022 | 2,259 | $103K |
| 2023 | 2,113 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,646 | 1,539 | $144K | |
| 92004 | 1,225 | 1,132 | $125K | |
| 92250 | 3,266 | 3,028 | $110K | |
| V2020 | Vision svcs frames purchases | 1,208 | 1,035 | $41K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 736 | 621 | $32K |
| V2410 | Lens variab asphericity sing | 401 | 337 | $22K |
| 92340 | 1,195 | 1,009 | $19K | |
| V2755 | Uv lens/es | 231 | 196 | $6K |
| V2745 | Tint, any color/solid/grad | 384 | 324 | $4K |
| 99213 | 57 | 51 | $3K | |
| V2784 | Lens polycarb or equal | 133 | 108 | $2K |